Buckeye Lake Open Bass Tournament Sunday April 14 th 7:00 am-3pm Entry Fee: $100.00 per boat ($10 optional big bass pot)~ North Shore Ramp 1st Pl. $2750.00 2nd Pl. $1300.00 3rd Pl. $800.00 4th $600.00 5th $450.00 6th. 300.00 7 th . $200 8 th . $150 (Above payout is based on a 75 FULL field. Will be prorated if less will increase is more entries received.) Boat numbers will be assigned by the date in which the entry form is received by mail. Mailed entries must be received by April 12th. Cash entries accepted the day of the event . Check in and boat inspection will begin at 5:45 am at the ramp . All entries must be checked in by 6:45am. A pre-tournament meeting will begin at 6:55am. On the water . All state and local lake laws must be follow ed . T.B.X. rules w ill also apply for weigh in penalties ect . Please check out our website for complete list of rules and details : www.teambassxtreme.com We also gladly accept online payments as well (credit cards through paypal) Note: 5 Fish Limit per 2 man team or single man team per day ******************************************************************************************************************************** Please make check/money order out to: TBX Mail To. 6595 Saylor Ct - Canal Winchester , Ohio 43110 Any questions that you have call (614)598-9606 Name__________________________________ Name :________________________________ Address _______________________________ Address:_______________________________ City__________________State____Zip _______ City___________________State____Zip _______ Phone _____________Email ________________ Phone _____________Email ________________ Liability Release: In consideration of the limited right to participate in any Team Bass Xtreme (hereinafter “TBX ”) bass fishing event,the undersigned Participant(s) hereby acknowledge and agree that Team Bass Xtreme, LL C, a nd its members, managers, agents,employees, officers, sponsors, tournament director s, successors or assigns (collectively “Indemnified Parties”) shall not be liable forclaims, damages, demands, costs or expenses arising out of any personal injury, death, property damage or loss which may be sustained bythe undersigned Participant(s) while participating in any TBX bass fishing event, provided that such injuries were not caused by the grossly negligent actions or inactions or willful misconduct of the Indemnified Parties. Each of the undersigned Participant(s) hereby jointly and severally agree to assume all risk of injury, death, property damage or los that may occur while participating in any TBX bass fishing event, and agree to hold all Indemnified Parties harmless an d to indemnify and defend sa me against any and all claims, liabilities, damages, liens and expenses (including, without limitation, reasonable attorneys’ fees) arising directly or indirectly from any such occurrences, including any injury caused to others by the undersigned Participant(s). The undersigned Participant(s) further agree to abide by all Rules and Regulations governing the TBX bass fishing events, which may be imposed from time to time by the Indemnified Parties. Signature_______________________________ Date: ____________ Signature_________________________________ Date: ____________ Buckeye Open

Buckeye Lake Open Bass Tournament - Team Bass XtremeBuckeye Lake Open Bass Tournament Sunday April 14th 7:00 am-3pm Entry Fee: $100.00 per boat ($10 optional big bass pot) ~ North

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Buckeye Lake Open Bass Tournament Sunday April 14th 7:00 am-3pm

Entry Fee: $100.00 per boat ($10 optional big bass pot)~ North Shore Ramp

1st Pl. $2750.00 2nd Pl. $1300.00 3rd Pl. $800.004th $600.00 5th $450.00 6th. 300.00 7th. $200 8th. $150

(Above payout is based on a 75 FULL field. Wil l be prorated if less wil l increase is more entries received.)

Boat numbers will be assigned by the date in which the entry form is received by mail. Mailed entries mustbe received by April 12th. Cash entries accepted the day of the event . Check in and boat

inspection will begin at 5:45 am at the ramp . All entries must be checked in by 6:45am. A pre-tournamentmeeting will begin at 6:55am. On the water . All state and local lake laws must be follow ed . T.B.X. rules w ill

also apply for weigh in penalties ect . Please check out our website for complete list of rules and details :www.teambassxtreme.com

We also gladly accept online payments as well (credit cards through paypal)Note: 5 Fish Limit per 2 man team or single man team per day

********************************************************************************************************************************

Please make check/money order out to: TBXMail To. 6595 Saylor Ct - Canal Winchester , Ohio 43110

Any questions that you have call (614)598-9606

Name__________________________________ Name :________________________________Address _______________________________ Address:_______________________________ City__________________State____Zip _______ City___________________State____Zip _______Phone _____________Email ________________ Phone _____________Email ________________

Liability Release: In consideration of the limited right to participate in any Team Bass Xtreme (hereinafter “TBX ”) bass fishingev ent,the undersigned Participant(s) hereby acknowledge and agree that Team Bass Xtreme, LL C, a nd its members, managers,agents,employ ees, officers, sponsors, tournament director s, successors or assigns (collectiv ely “Indemnified Parties”) shall not beliable forclaims, damages, demands, costs or expenses arising out of any personal injury , death, property damage or loss which maybe sustained by the undersigned Participant(s) while participating in any TBX bass fishing ev ent, prov ided that such injuries werenot caused by the grossly negligent actions or inactions or willful misconduct of the Indemnified Parties. Each of the undersignedParticipant(s) hereby jointly and sev erally agree to assume all risk of injury , death, property damage or los that may occur whileparticipating in any TBX bass fishing ev ent, and agree to hold all Indemnified Parties harmless an d to indemnify and defend sa meagainst any and all claims, liabilities, damages, liens and expenses (including, without limitation, reasonable attorney s’ fees) arisingdirectly or indirectly from any such occurrences, including any injury caused to others by the undersigned Participant(s). Theundersigned Participant(s) further agree to abide by all Rules and Regulations gov erning the TBX bass fishing ev ents, which may beimposed from time to time by the Indemnified Parties.

Signature_______________________________ Date: ____________ Signature_________________________________ Date: ____________

Buckeye Open